Descrição. The superior part of the duodenum, as stated above, is somewhat movable, but the rest is practically fixed, and is bound down to neighboring viscera. The ligament of Treitz, also known as the suspensory ligament of the duodenum, is a double fold of peritoneum suspending the duodenojejunal flexure from the. The suspensory muscle of duodenum or ligament of Treitz (named after Václav Treitz) appelées le muscle suspenseur du duodénum (ligament de Treitz).

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Ascending colon Hepatic flexure Transverse colon Splenic flexure Descending colon Sigmoid colon Continuous taenia coli haustra epiploic appendix. Imaging studies often play a central role in diagnosing left paraduodenal hernias, as they are not easily teritz clinically.

Left paraduodenal hernia

Surgery is the treatment of choice. Oxford textbook of medicine: Visualising a normal location of the ligament of Treitz in radiological images is critical in ruling out malrotation of the gut in a child; it is abnormally located when malrotation is present. A collection of writing tools that cover the many facets of English and French grammar, style and usage.

According to some authors, who use the original description by Treitz, the muscle may be divided into two sections: The suspensory muscle is derived from mesoderm and plays a role in the embryological rotation of the gut, by offering a point of fixation for the rotating gut.


By using this site, you agree to the Terms of Use and Privacy Policy. A left paraduodenal hernia is a protrusion of the small intestine through the paraduodenal fossa, a congenital defect situated to the left of the fourth portion of the duodenum. When it contracts, by virtue of connections to the third and fourth parts of the duodenum, the suspensory muscle of the duodenum widens the angle of the duodenojejunal flexure, allowing movement of the intestinal contents.

From Wikipedia, the free encyclopedia. Congenital superior mesenteric ligamwnto syndrome can be caused by a short ligament of Treitz.

Loading Stack – 0 images remaining. Retrieved from ” https: Connective tissue surrounding coeliac artery and superior mesenteric artery. CT of internal hernias. The language you choose must correspond to the language of the term you have entered. Anatomy of the gastrointestinal tractexcluding the mouth. Superior mesenteric artery syndrome SMA is an extremely rare life-threatening condition that can either be congenital and chronic, or induced and acute.

One surgical treatment is Strong’s operationwhich involves ligamenyo the suspensory muscle, though this is not often carried out. Access a collection of Canadian resources on all aspects of English and French, including quizzes.

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Retrieved 1 July Moreover, separate multiple attachments are not that uncommon. Coeliac plexusSuperior mesenteric plexus. FAQ Frequently asked questions Display options. Radiographics ; 25 4: Articles Cases Courses Quiz. When the remaining jejunum is anastamosed with the pylorus of the stomachit may be passed through the ligament.


It is also thought to help digestion by widening the angle of the duodenojejunal flexure.

Ligament of Treitz | Radiology Reference Article |

It is also known as the ligament of Treitz. The postoperative period was uneventful, and the patient was discharged on the third postoperative day. Unable to process the form. The ligament of Treitzalso known as the suspensory ligament of the duodenumis a double fold of peritoneum suspending the ligamwnto flexure from the retroperitoneum.

Suspensory muscle of duodenum

Check for errors and try again. Laparoscopic surgery for left paraduodenal hernia.

When it contracts, the suspensory muscle of the duodenum wides the angle of the duodenojejunal flexure, allowing movement of the intestinal contents. Third and fourth-parts of duodenumduodenojejunal flexure.

It is often used dw with duodenojejunal DF flexure. Review of internal hernias: Open surgery consisted in removing adhesions between the hernia and peritoneum, reducing jejunal loops and closing the paraduodenal fossa.